Application | Whitaker Properties Inc

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Bellows Falls, VT

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Application

Application for Rental Properties

Applicant Information

Name(Required)

First Last

Date of birth:(Required)

MM slash DD slash YYYY

SSN(Required)

Phone(Required)

Current address(Required)

City(Required)

State(Required)

Zip Code(Required)

Own or Rent(Required)

Own

Rent

Monthly payment or rent(Required)

Length of time there(Required)

Previous address(Required)

Previous city(Required)

Previous State(Required)

Previous ZIP(Required)

Previous Own or Rent

Own

Rent

Previous payment(Required)

Previous length(Required)

Employment Information

Current employer:

Employer address:

How long?

Phone:

Email:

Fax

City of employer:

State of employer:

ZIP of employer:

Position:

Hourly or Salary

Hourly

Salary

Annual Income:

Emergency Contact

Name of person not residing with you:

Address of emergency contact:

City of person not residing with you:

State of person not residing with you:

ZIP of person not residing with you:

Phone of person not residing with you:

Relationship of emergency contact:

Co-applicant Information, if Married

Name

First Last

Date of birth:

MM slash DD slash YYYY

SSN

Phone

Current address:

City:

State:

ZIP Code:

Own or Rent:

Own

Rent

Monthly payment or rent:

How long?

Previous address:

City:

State:

ZIP Code:

Own or Rent:

Own

Rent

Monthly payment or rent:

How long?

Co-applicant Employment Information

Current employer:

Employer address:

How long?

Phone:

Email:

Fax:

City:

State:

ZIP Code:

Position:

Hourly or Salary

Hourly

Salary

Annual Income:

References

Name:

Address:

Phone:

Phone:

Address:

Phone:

Consent(Required)

I authorize the verification of the information provided on this form as to my credit and employment. I have received a copy of this application.

Signature of Applicant (type in name):(Required)

Date(Required)

MM slash DD slash YYYY

Signature of co-applicant (type in name):

Date

MM slash DD slash YYYY

Option: You may download/print the pdf application here.

Print Rental Application

Email to manager@whitakerpropertiesinc.com

Mail to:
Whitaker Properties
PO Box 99
Saxtons River, VT 05154

Local Attractions

Great Falls Regional Chamber of Commerce
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BF Community Bike Project

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Rockingham Roasters

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